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目的对胃癌手术后胆囊结石发生原因与诊治方法进行分析。方法选取2011年4月-2013年9月在我院接受胃癌手术的患者113例,对患者胆囊结石发生情况进行分析,回顾性分析患者的临床资料,分析胃癌手术后胆囊结石形成的原因及诊治方法。结果胆囊结石发病率为17.7%。经分析,合并胆囊结石组患者全胃切除术占比、非生理行重建术式占比、合并脏器切除占比显著高于无胆囊结石组。结论胃癌手术后胆囊结石的形成和胃癌手术方式,特别是和重建方法密切相关,应加以预防,发生后应根据患者具体情况展开保守治疗或胆囊切除术治疗。
Objective To analyze the causes and diagnosis and treatment of gallstone after operation of gastric cancer. Methods From April 2011 to September 2013, 113 patients undergoing gastric cancer surgery in our hospital were selected to analyze the incidence of gallstone in the patients. The clinical data of the patients were retrospectively analyzed. The causes and diagnosis and treatment of gallstone stones after gastric cancer surgery were analyzed method. Results The incidence of gallstone was 17.7%. After analysis, total gastrectomy accounted for the proportion of patients with gallstone disease, non-physiological reconstruction accounted for the proportion of combined organ removal was significantly higher than those without gallstone group. Conclusions The formation of gallbladder stones after gastric cancer operation is closely related to the operation method of gastric cancer, especially to the reconstruction method. It should be treated conservatively or cholecystectomy according to the specific conditions of patients.